Steven    Sykes    DC
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000005644
NPI
1932161874
Tax ID
742628286
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
900 West Loop 250 North Suite D
Midland, TX 79705
United States
County
Midland
Phone
4326875656 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address